Can lower preoperative 48-hour pH score predict reflux resol
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Morbidly-obese patients with reflux who are undergoing sleeve gastrectomy (SG) may experience resolution, or persistent reflux. Researchers studied factors associated with reflux resolution after sleeve gastrectomy. Researchers evaluated baseline weight, body mass index, and DeMeester score in patients with reflux undergoing sleeve gastrectomy. Outcome measure was resolution of reflux post-operatively.

Study group included 70 patients; 33(47.1%) patients reported resolution of reflux (RR group) after surgery; 37(52.9%) patients didn't have resolution (NR group). Pre-operative weight, body mass index, percent excess BMI loss and presence of equal or less than 2?cm hiatal hernia (HH) were similar between the two groups. Males and lower pre-operative DMS were associated with resolution of reflux

Lower pre-sleeve gastrectomy DeMeester score tend to imply ability to resolve reflux in morbidly-obese patients, thus, sleeve gastrectomy may still be offered, without repair of equal or less than 2?cm HH if present. Unfortunately, it can't be used as the only factor

Source:https://www.americanjournalofsurgery.com/article/S0002-9610(20)30823-0/fulltext?rss=yes
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